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THOMAS GERMANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2501

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10530
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007058230
RI MEDICARE (UEMF)
RI
01
02/01/2006
BCBS
RI
01
03/24/2009
TUFTS HEALTH PLAN
MA
01
04/15/2009
UNITED HEALTHCARE
RI
01
10/12/2006
NHPRI
RI
05
3086101
MA
05
TG21617
RI
Enumeration date
03/08/2006
Last updated
02/18/2010
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